O2 Orders 101

Posted by Steve DeGenaro on Thu, May 04, 2017 @ 10:14 AM

It might surprise some readers to learn that there are enough rules and regulations, quirks and nuances, and potential problems to devote an entire blog article to a topic limited to “oxygen orders”.  The fact is that oxygen orders are a complex enough issue to devote an article to, and more importantly, for your company to devote resources including training time --toward the goal of compliance.

Read More

Topics: Employee Training, HME Accreditation Requirements, Compliance, Clinical Practice Guidelines, Delivery, Oxygen

What to Expect During an Accreditation Survey

Posted by Steve DeGenaro on Mon, Apr 10, 2017 @ 02:04 PM

Companies going through an accreditation process usually experience at least some degree of anxiety.  The importance of achieving and maintaining accreditation is often “life and death” to an organization—lose it and you may not be able to continue billing or receive referrals from a payer or a referral source.  If it’s the first time you’re going through the process, you can also add the fear of the unknown to that equation.  Add these factors together and you have a combination that can cause a lot of stress!

Read More

Topics: Renewing Accreditation, Quality Standards, HQAA Accreditation, HME Accreditation Requirements, Compliance, Avoiding Deficiencies

Top Ten Deficiencies & How to Prevent Them

Posted by Steve DeGenaro on Wed, Mar 08, 2017 @ 11:33 AM

The nature of accreditation is that a company embraces a continuous quality improvement methodology and operates its business in compliance with laws, regulations, and industry best practices to the best of its ability. Accreditation is a journey not just a destination – a journey full of learning opportunities, education, and revision and tweaking of your company’s processes and procedures.

That process doesn’t lend itself well to quick “punch lists” and it is not advisable to look for shortcuts along the journey. However,

Read More

Topics: Quality Standards, HQAA Accreditation, HME Accreditation Requirements, Compliance, Avoiding Deficiencies

Using Clinical Respiratory Services to Enhance Your Business

Posted by Steve DeGenaro on Mon, Feb 06, 2017 @ 02:54 PM

Clinical respiratory services (CRS) are hands on care, assessment, or treatment, governed by state regulations including Respiratory Practice Acts and Licensure Laws.  It is usually physician-prescribed in conjunction with medical equipment services.  Most of the DME organizations that provide CRS do not get paid for the services and do them as an adjunct to providing some kind of equipment services, such as an oxygen or ventilation program.  Because of the limited opportunities for reimbursement for these services, organizations

Read More

Topics: Quality Care, Clinical Respiratory Services

Helping Your Customers Understand Their Financial Responsibility

Posted by Steve DeGenaro on Thu, Jan 05, 2017 @ 11:21 AM

HME organizations struggle with the concept and implementation of informing their customers of their financial responsibilities.  This area of patient rights is often misunderstood and sometimes poorly implemented by organizations.  To establish an effective procedure and mindset for your staff and to serve your customers appropriately, it is important to understand the rationale for this right and requirement.

Read More

Topics: Billing, HME Accreditation Requirements, Compliance

Law & Regulation: An Accreditation Issue?

Posted by Steve DeGenaro on Mon, Dec 12, 2016 @ 01:25 PM


Organizations are sometimes surprised to find out that surveyors look at various state and federal laws along with accreditation standards during the survey.  The fact of the matter is that law and regulation overlaps accreditation standards in many ways and in many places.  In fact, many accreditation standards have their basis in law and regulation.  Standard ORG 2 states that an organization willdemonstrate compliance with “all required federal, state, and local licenses, permits, certifications, and registration requirements”.  It also references compliance with Medicare enrollment standards, meaning that you must comply with the Quality Standards, which were the basis for all accreditation standards.  Essentially, what ORG 2 says is that you must follow all applicable law and regulation. 

Read More

Topics: Quality Standards, HQAA Accreditation, HME Accreditation Requirements, Compliance

“Ride Alongs:” A Useful Tool for Your Company

Posted by Steve DeGenaro on Mon, Nov 14, 2016 @ 03:16 PM

“Ride alongs” are home visits that are performed with a new orientee or current staff member where an evaluator rides along to teach and observe the staff member performing the visit.  These visits are typically done during orientation/training and on an on-going basis for competency assessment.  These visits ensure that all of job-related tasks are being performed in a correct manner while the staff member is unsupervised in the field.

Read More

Topics: HIPAA, Quality Standards, HME Accreditation Requirements, Patient Privacy, Quality Care, Delivery, Competence

Retail Showrooms & Your Accreditation Survey

Posted by Steve DeGenaro on Tue, Oct 04, 2016 @ 04:10 PM

Home medical equipment companies frequently mention that it seems that the majority of survey (inspection) activity takes place in equipment storage, cleaning, and warehouse areas, as well as out in the field during “ride-alongs” to observe patient interactions with staff.HME staff is sometimes caught by surprise when the surveyor turns their attention to the retail showroom during the inspection. Why would a surveyor want to look at a retail showroom and what accreditation standards apply in that setting?

Read More

Topics: HME Accreditation Requirements, Compliance, Avoiding Deficiencies, Showroom, Retail

Protecting Patient Privacy: HIPAA & Beyond

Posted by Steve DeGenaro on Fri, Aug 14, 2015 @ 04:55 PM



Consumers have come to expect confidentiality and privacy in all business transactions today, whether on line or in retail establishments.  Healthcare is no exception and patient/customers are now protected by HIPAA (the Healthcare Insurance Portability and Accountability Act of 1996).  Consumers who have received any healthcare service in a hospital, doctor’s office, medical lab, or pharmacy have been exposed to some education about HIPAA.  Medical equipment companies are no different and have some unique issues to plan and prepare for to comply with this complex regulation and the even more fundamental patient right to privacy and confidentiality. 

Read More

Topics: Employee Training, HIPAA, Security, HME Accreditation Requirements, Patient File Requirements, Compliance, Patient Privacy

4 Easy Steps to Ensure Your Warehouse Meets HME Accreditation Standards

Posted by Steve DeGenaro on Tue, Feb 04, 2014 @ 03:55 PM

Say the word “warehouse” and many people conjure up images of a dark, dusty, damp place with rows of equipment and boxes piled to the ceiling. 

A home medical equipment company’s warehouse certainly can be the source of problems, deficiencies with standards, safety hazards, and infection control issues. But with just a little planning, some elbow grease, and a bit of ongoing monitoring, you can turn your warehouse into a clean, safe, even pleasant environment that improves operational efficiencies and helps your employees do their job well. 

Read More

Topics: Quality Improvement, HME Accreditation Requirements, Avoiding Deficiencies, Warehouse